Kathleen Marie Latta in Joliet - Developmental Therapist
Kathleen Marie Latta - NPI 1669684619
Kathleen Marie Latta is a Developmental Therapist in Joliet, Illinois. Kathleen Marie Latta practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Kathleen Marie Latta is 1669684619. The last update date is 2007-07-08.
Kathleen Marie Latta's current location address is 2423 Glenwood Ave, Joliet, Illinois. You can contact this provider via phone number 8157259992 and fax number 8157259993. The mailing address for Kathleen Marie Latta is 2423 Glenwood Ave, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Marie Latta |
|---|---|
| Address | 2423 Glenwood Ave, Joliet, Illinois |
| Phone Number | 8157259992 |
| Fax Number | 8157259993 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669684619 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2423 Glenwood Ave |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604355483 |
| Phone Number | 8157259992 |
| Fax Number | 8157259993 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | KL84520906P |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
|
Post Comment/ Review Below
What is the Kathleen Marie Latta's 1669684619?
The Kathleen Marie Latta's NPI (National Provider Identifier) Number is 1669684619. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kathleen Marie Latta located?
The Kathleen Marie Latta is located at 2423 Glenwood Ave, Joliet, IL 604355483.
What is Kathleen Marie Latta's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kathleen Marie Latta's specialized field of practice is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 222Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1669684619 to Kathleen Marie Latta?
The Centers for Medicare & Medicaid Services assigned the 1669684619 to Kathleen Marie Latta on 2007-05-03.
As of what date were the details pertaining to Kathleen Marie Latta last refreshed?
The information related to the Kathleen Marie Latta, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC